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81. High-Hanging Fruit: Improving Transitions in Health Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
    March 27, 2008 - in most health care settings, new paperwork or software would have to be created for this type of transition … variation on readbacks, the “teachback,” has been considered as a tool for including patients in the transition … Because of pragmatic challenges involved in timing a transition update to include patients, particularly … have been noted: (1) pre-turnover, during which the individuals involved begin to prepare for transition … ; (2) arrival, where incoming and off-going workers gather; (3) meeting, during which the transition

82. Caregivers of children discharged from the hospital should report that prior to discharge, they received a copy of or access to discharge instructions | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/access-discharge-instructions.html
    August 01, 2021 - PDF) Quality of Pediatric Emergency Department-to-Home Transitions Survey Spanish Version  (PDF) Transition

83. Caregivers of children discharged from the hospital should report being offered assistance in scheduling within 72 hours of discharge from the hospital | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/offered-assistance-scheduling.html
    August 01, 2021 - PDF) Quality of Pediatric Emergency Department-to-Home Transitions Survey Spanish Version  (PDF) Transition

84. Caregivers of children discharged from the hospital whose preferred language is other than English should report that they received discharge education in their preferred language | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/preferred-language.html
    August 01, 2021 - PDF) Quality of Pediatric Emergency Department-to-Home Transitions Survey Spanish Version  (PDF) Transition

85. Caregivers of children discharged from the hospital should report that, prior to their child’s most recent discharge, they had an opportunity to ask questions | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/opportunity-ask-questions.html
    August 01, 2021 - PDF) Quality of Pediatric Emergency Department-to-Home Transitions Survey Spanish Version  (PDF) Transition

86. AHRQ Announces Interest in Funding Research on Diagnosis and Treatment of Menopause | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/noi-menopause-symptoms.html
    December 01, 2024 - scaling person-centered models of care to optimize women’s health during midlife and the menopausal transition

87. Module 15—Infection Prevention and Antibiotic Stewardship Considerations During Care Transitions—Nursing Home Infection Preventionist Training Course | Agency for Healthcare Research and Quality
    www.ahrq.gov/nursing-home/resources/module-15-infection-prevention.html
    April 01, 2022 - importance of communication during care transitions; 2. define the characteristics of an ideal care transition

88. Section 7.E, Tables 15 and 16 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-15-16.pdf
    March 12, 2018 - 26.2 50*** Protocols/Plans Child has shared care plan FECC-16 40.8 61.8*** Child has written transition … 26.9 49.4*** Protocols/Plans Child has shared care plan FECC-16 40.9 64.8*** Child has written transition

89. Supplemental Items for the CAHPS Hospital Adult Survey: Health Literacy | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-healthlit-items.html
    October 01, 2023 - Add a transition statement to indicate a transition from the HCAHPS questions. … To find CMS’s mandatory transition statement, please refer to the HCAHPS Quality Assurance Guidelines … on HCAHPS and search for “mandatory transition statement.”

90. Section 7.B, Tables 13 and 14 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-13-14.pdf
    March 09, 2018 - -14 33.3 28.6 Protocols/Plans Child has shared care plan FECC-16 40.0 48.8* Child has written transition … child’s condition Protocols/Plans Child has shared care plan FECC-16 40.9 49.1 Child has written transition

91. Exhibit 11. Supporting Increases in Patient Knowledge, Skills, and Abilities | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex11.html
    July 01, 2018 - Description Who is involved Outcomes measured Engaging and supporting patients and families in transition

92. Chapter 6. Measure Maps and Profiles (continued, 20) | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6s.html
    June 01, 2014 - report. 1 This measure is intended for use in conjunction with two other PCPI measures (Measure #58, Transition … Transition Record with Specified Elements Received by Discharged Patients (Inpatient Discharges) Care … Transition Record with Specified Elements Received by Discharged Patients (Inpatient Discharges) Purpose … from an inpatient facility to home or any other site of care, or their caregiver(s), who received a transition … Reconciled Medication List Received by Discharged Patients; and Measure #59, Timely Transmission of Transition

93. TeamSTEPPS for Rapid Response Systems (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrs_slides/rrsslides.pdf
    January 01, 2008 - Inter-Team Knowledge Supports effective transitions in care between units Is a prerequisite for transition … requires… Administration requires… Patient needs… TEAMSTEPPS 05.2Mod 1 05.2 Page 20Page 20 RRS Transition … support Example: Activator becoming Responder TEAMSTEPPS 05.2Mod 1 05.2 Page 21Page 21 RRS Transition … team, stroke team, etc) A revised plan of care TEAMSTEPPS 05.2Mod 1 05.2 Page 40Page 40 RRS RRS Transition … Support�(“Boundary Spanning”) Transition Support�(“Boundary Spanning”) Example of One RRS Example

94. TeamSTEPPS Rapid Response Systems Module | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
    October 01, 2014 - Support ("Boundary Spanning") Transition Support ("Boundary Spanning") (continued) Example of One … How did the response team know when and where to transition the patient to another care unit? … Did the Responders understand the role of the nursing staff in easing transition? … Return to Top Transition Support ("Boundary Spanning") Say: Transition support, or "boundary … This transition of care can include: Transferring the patient to another unit.

95. Appendix IV: List of Measures | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiv.html
    June 01, 2010 - Connecticut Nursing Facility Transition Consumer Survey. Georgia Consumer Satisfaction Survey.

96. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - costs associated with preventable ADEs occurring in both inpatient and outpatient settings. 8,9 The transition … patients may result in ADEs. 29 Such human factors resulting in ADEs are particularly common during transition … analysis was to evaluate the potential for medication discrepancies to contribute to ADEs during care transition … Conclusion Medication discrepancies frequently occur during the transition from hospital to home care … The hospital discharge: a review of high risk care transition with highlights of a reengineered discharge

97. Final Progress Report: Patient-Centric Risk Model for Medication Safety During Care Transitions (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
    January 01, 2024 - Scope: The transition to home following hospital discharge is a high-risk period, with older adults being … Our recommendations were built on the fact that medication safety during care transition and, more so … Discharge-related tasks: during hospital to home transition-peri-discharge period and first few days … The number of tasks to be performed by patients during immediate transition was high. … Patient medication management tasks during care transition.

98. Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/studies/index.html?page=137
    January 01, 2024 - in youth with type 1 diabetes and an A1C >9%: qualitative analysis of pre-transition perspectives. … The purpose of this training was to explore expectations for transition to adult care and experiences … with transition planning among adolescents and young adults with type 1 diabetes and an A1C >9% at a … The investigators concluded that a lack of transition preparation and anxiety about transition and adult … Health care transition in youth with type 1 diabetes and an A1C >9%: qualitative analysis of pre-transition

99. Part 3: National Quality Strategy Priority—Care Affordability | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs7.html
    June 01, 2018 - partnership between Methodist Le Bonheur Healthcare and 512 congregations in Memphis, supports the transition … then works with a church-based volunteer liaison to arrange postdischarge services and facilitate the transition

100. Section 7.A, Tables 11 and 12 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-11-12.pdf
     March 09, 2018 - Protocols/Plans Child has shared care plan FECC-16 36.4 52.4*** 65.9*** 41.2 Child has written transition … Protocols/Plans Child has shared care plan FECC-16 37.5 53.7*** 62.6*** 40.8 Child has written transition